Dr Allan Jay Haesemeyer, MD is a medicare enrolled "Family Medicine" physician in Shell Lake, Wisconsin. He graduated from medical school in 1975 and has 50 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Indianhead Medical Center Shell Lake, Inc. and his current practice location is
113 4th Avenue, Shell Lake, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 468-7833.
Dr Allan Jay Haesemeyer is licensed to practice in Wisconsin (license number 24168) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1548267768.
Physician's Profile
| Full Name | Dr Allan Jay Haesemeyer |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 50 Years |
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| Location | 113 4th Avenue, Shell Lake, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Allan Jay Haesemeyer graduated from medical school in 1975
NPI Data:
- NPI Number: 1548267768
- Provider Enumeration Date: 07/01/2005
- Last Update Date: 06/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729972211
- Enrollment ID: I20100813000960
Medical Identifiers
Medical identifiers for Dr Allan Jay Haesemeyer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548267768 | NPI | - | NPPES |
| 30382900 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 24168 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Indianhead Medical Center Shell Lake, Inc. | 6406748839 | 7 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Allan Jay Haesemeyer allows following entities to bill medicare on his behalf.
| Entity Name | Indianhead Medical Center Shell Lake, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053859058
PECOS PAC ID: 6406748839
Enrollment ID: O20170331000695 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Allan Jay Haesemeyer is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Allan Jay Haesemeyer, MD
113 4th Avenue,
Shell Lake, WI 54871
Ph: (715) 468-7833 | Dr Allan Jay Haesemeyer, MD
113 4th Avenue,
Shell Lake, WI 54871
Ph: (715) 468-7833 |
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